My lower left second molar has a large filling and is sensitive to hot, cold, and even air. When I mentioned this to my dentist, she quickly blew air on a few spots and applied a desensitizing agent. Without further examination, my dentist suggested potential nerve removal if the sensitivity persists. I’m puzzled about how she could make a diagnosis in seconds.
I’m wearing braces and wonder if this could contribute to the sensitivity. Another possibility is a potential hole or thin spot in the filling itself, which might be causing the issue.
Unfortunately, my dentist seems impersonal and rushed, leaving little room for questions or concerns. She works without explaining what she is doing or asking me if I have questions or concerns. Thanks. Mario from NM
Mario,
If a tooth is sensitive to air, it suggests an exposed area on the tooth surface. A desensitizing agent can often alleviate this type of sensitivity.
If the pain from air sensitivity is brief and subsides quickly, it may indicate temporary nerve irritation. However, if the pain lingers, it could signal irreversible damage to the nerve, necessitating root canal treatment.
Dentists can also assess tooth sensitivity using other stimuli, such as cold, heat, or electrical impulses.
While your braces may contribute to tooth sensitivity, the issue is more likely to stem from the existing filling. A poorly fitting or leaking filling can lead to sensitivity.
If you’re concerned about your dentist’s approach, it’s important to communicate your needs. Don’t hesitate to ask questions or request additional information. A dentist builds patient relationships on trust and open communication. Consider seeking a second opinion if your dentist does not address your concerns.
Dr. James Gavrilos, an accredited cosmetic dentist from Barrington, Illinois, sponsors this post. Read how he strives to give his patients the best dental care in Barrington.